title: Medium term results of the Miller-Galante knee arthroplasty with 10 year survivorship.
abstract: Seventy-four Miller-Galante unicompartmental knee arthroplasty procedures were performed in 69 patients between 1990 and 2003. All patients underwent regular prospective clinical and radiological followup. Their average age at the time of surgery was 63.9 years (range: 47-80 years). Seventeen patients died during the period of follow-up. At a mean of 10.7 years follow-up the average Knee Society Score was 79.9 (range: 51-95) and the average functional score was 75.5 (range : 45-90). On the basis of clinical knee scoring, 48 knees (85.7%) were graded as excellent or good. The average amount of flexion at final follow-up was 115.9 degrees (range : 90-140 degrees). Arthritic progression in the opposite compartment was seen in 13 knees (23.2%). Two such knees underwent revision to total knee replacement (TKR) and 3 other knees were revised to TKR for persistent pain or infection. Ten-year survivorship with "revision due to progression of arthritis in the opposite compartment" as the end point was 973% and with "revision due to any cause" as the end point was 94.6%.
authors.affiliation: Rajesh Rachha, Department of Orthopaedics, Bedford Hospital NHS Trust, Bedford, MK41 7JW, U.K. drrachha@gmail.com
authors.forename: Rajesh
authors.initials: R
authors.lastname: Rachha
authors.forename: Karunakar
authors.initials: K
authors.lastname: Veravalli
authors.forename: Manoj
authors.initials: M
authors.lastname: Sood
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000601:surgery*; D011474:Prosthesis Design; D012086:Reoperation; D016896:Treatment Outcome